Doctor Name: | MRS. BEVERLY A. HALL |
NPI Number: | 1932392370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | SP9720 |
Business Practice Address: | 5930 Adobe Rd Twentynine Palms, CA - 922772356 |
Business Phone Number: | 7603671743 |
Business Fax Number: | 7603671083 |
Mailing Address: | 5930 Adobe Rd, TWENTYNINE PALMS |
State: | CA |
Postal Code: | 922772356 |
Phone Number: | 7603671743 |
Fax Number: | 7603671083 |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |